August 31 2015
Here is session two. It is mainly concerned with infections and specifically
Stopping infection in the hospital
Healthcare associated infections
- five types account for 60% of the reports
- uti, surgical site, bloodstream, pneumonia.
Everyone is a susceptible host.
Infection control – exit versus entry
Overuse of antibiotics is leading to Drug resistant Microbial strains.
- these pt’s tend to have longer hospital stays
MRSA: HA = hospital acquired, CA = Community acquired
- testing upon admission to tell the difference.
- find the location: nose, wound, and be extra careful with that cite
VRE Vancomycin resistant enterococcus – happens in immunocompromised pts,
- ie. cancer, old, steroids
Cdiff – inflammation and irritation of the bowel,
- have to go to the bathroom a lot, distinct smell.
SIRS – systemic inflammatory response syndrome
Standard precaution on all fluids and pts that are considered hazardous
- This can be helped through consciously creating habits
mode of transportation
There is a specific order of operations to apply and remove PPE
Airborne precautions (droplet of <5um)
- Measles, VZV, TB
- Private, negative airflow room
- precautions: N95 mask
- Rule out tb and an actual tb patient are treated the same.
- direct contact transmission
- MRSA, VRE, RSV,
- Accommodations private room
- precautions, gloves and gowns with their own equipment
Droplet Precautions > 5um
- Simple mask
- rubella, pertussis
Levels of cleanliness
- Asepsis – no pathogens
- Medical asepsis – “Clean technique”
- Surgical asepsis – “sterile technique”
Wash your hands!!!
- all the time
- a lot
- soap and water if visibly soiled
- C Diff does not die from alcohol gel.
compromise of a sterile package
- get a new sterile package!
- start over
- hands above waist
- edges are contaminated
- liquid contaminates sterile field.